Cryptococcosis surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Surgical excision of cryptococcoma is recommended if the lesions are larger than 3cm, accessible lesions, have a mass effect and are compressing vital structures, or in case of failure to reduce the size of the cryptococcoma after 4 weeks of medical therapy.

Surgery

Surgical excision of cryptococcoma is recommended if any of the following is present:[1]

  • Lesions are larger than 3cm
  • Accessible lesions with mass effect
  • Compression of vital structures
  • Failure of the reduction in size of cryptococcoma after 4 weeks of medical therapy

References

  1. Li Q, You C, Liu Q, Liu Y (2010). "Central nervous system cryptococcoma in immunocompetent patients: a short review illustrated by a new case". Acta Neurochir (Wien). 152 (1): 129–36. doi:10.1007/s00701-009-0311-8. PMID 19404577.

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